Wayne Metro's LEAP to Teach - Application
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Your Email:
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Confirm Password:
Email Address
Your Name
Your Complete Address
County
Please select...
Wayne
Macomb
Oakland
Washtenaw
Other
Cell Phone
Home Phone
Date of Birth
Please upload Photo ID
Are you at least 18 years of age and legally eligible to work in the United States?
Yes
No
How did you hear about LEAP to Teach?
Employer
Word of Mouth
Career Link
Flyer
Web Search
Other
Highest Level of Education
Please select...
Grade School (No High School Diploma)
High School Diploma/GED
Certificate
CDA
Associates
Bachelors
Masters
Doctorate
Please upload Proof of Education (Highest Level)
What language(s) do you speak?
Employment
Are you currently working?
Yes
No
Employment Details
Place of Current Employment
Date Current Employment Began
Childcare Experience
Do you have previous experience in childcare?
Yes
No
Childcare Experience Details
Name of Childcare Center
Dates Worked at this Center
Technology Assessment
Are you comfortable using a computer?
Yes
No
Are you comfortable with Microsoft Office (Word, Excel, PowerPoint)?
Yes
No
Are you comfortable with virtual meetings?
Yes
No
Are you comfortable with online classes?
Yes
No
Are you comfortable working remotely/online?
Yes
No
Maybe
Educational Goals
Select the choice that best describes your long-term educational goals:
Earn an Early Childhood CDA
Take a few Early Childhood courses to obtain or upgrade your job-related skills
Earn an Early Childhood Associate Degree
Earn an Early Childhood Associate Degree and transfer to a college/university to earn a Bachelor's Degree
Earn an Early Childhood Endorsement attached to a Teaching Certificate
Earn an Early Childhood Bachelor's Degree
What would you like to become? (Select all that apply)
Teacher Assistant
Teacher
Site Manager
Family Service Worker
Director of my own Childcare Center
Have you taken any Early Childhood Education Credits in the past two years?
Yes
No
How many Early Childhood Education Credits have you taken?
Consent Agreement
I hereby allow Wayne Metropolitan Community Action Agency, its agents, employees, sub-contractors or affiliates to communicate with and request information from all housing, utility and income providers listed on Wayne Metro's related forms and to enter my personal information into the applicable program databases. This release expires two (2) years from the date of application. I agree that photocopies of this authorization may be used for the purposes stated above.
I Agree
Final Checklist
Please confirm the information below. If you missed something, please go back and complete those steps before submitting the form.
I have uploaded my Photo ID
Yes
No
I have uploaded my Educational Documents
Yes
No
I have my own transportation
Yes
No
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